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| Selling From Inside the Residence |
Yes No |
| Person Selling Drugs at this Location |
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| Type of Drugs Being Sold: |
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| Most Active Time of Day: |
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| Names of People Buying Drugs at this location ?: |
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| Owner of Property: |
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| Do you wish to be contacted: (If yes please fill out the information below) |
Yes |
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No |
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| Name: |
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| Phone Number:: |
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| Email Address: |
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